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Suggest Treatment For Pain From Sciatica And Spinal Compression

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Posted on Mon, 7 Jul 2014
Question: I'm 36 years old and have run 10 full marathons so consequently i have very bad sciatica and possibly spinal compression. Would fentanyl patches be appropriate?
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Answered by Dr. Hardik Thakker (32 minutes later)
Brief Answer:
Gabapentin/ pregabalin

Detailed Answer:
Dear XXXX

Greetings from health care magic!!! I am Dr Thakker and shall be answering your question.

Pain from sciatica and spinal compression is a neuropathic pain due to irritation of the nerves. Fentanyl is an opoid analgesic which is best used for visceral pain.

Fentaly patch will help you only partially. However a better idea is to use a drug like gabapentin or pregabalin. Gabapentin can be taken from 100 mg twice a day to 300 mg XXXXXXX twice a day. This is meant specifically got neuropathic pain. I would also suggest you to have a MRI of the lumbo-sacral spinal to delineate the pathology.

I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.

Yours sincerely,
Dr Thakker.
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Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Hardik Thakker

Internal Medicine Specialist

Practicing since :2006

Answered : 161 Questions

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Suggest Treatment For Pain From Sciatica And Spinal Compression

Brief Answer: Gabapentin/ pregabalin Detailed Answer: Dear XXXX Greetings from health care magic!!! I am Dr Thakker and shall be answering your question. Pain from sciatica and spinal compression is a neuropathic pain due to irritation of the nerves. Fentanyl is an opoid analgesic which is best used for visceral pain. Fentaly patch will help you only partially. However a better idea is to use a drug like gabapentin or pregabalin. Gabapentin can be taken from 100 mg twice a day to 300 mg XXXXXXX twice a day. This is meant specifically got neuropathic pain. I would also suggest you to have a MRI of the lumbo-sacral spinal to delineate the pathology. I hope this helps you out. If you have any more questions, please do not hesitate to write back to me. Yours sincerely, Dr Thakker.